ICU Alnoor Hospital (EXTRA info)
- MARAM FADHEL
- Apr 15, 2015
- 2 min read
Propofol:
طبعا دا دوا مخدر وفيلو كمية فات كمية الفات دي لازم نحسب السعرات اللي فيها عشان نطرحها من التوتال كالوري لانو مايسير اتجاهل دي الكالوري اوقات توصل ل٣٠٠ ودا شي يعتبر كمية كبيرة
Propofol is used to help you relax before and during general anesthesia for surgery t
Is also used in critically ill patients
Propofol is a lipid solution containing 1.1 kcal /mL.
Example:
To Calculate fat calories from propofol
20 ml/h propofol ×24 hours/d = 480 ml propofol/d
480 ml propofol ×1.1 calorie/ml = 528 fat calories
Calcium correction:
ليش نعمل دا الشي لانو دايما الالبيومين بيأثر على الكالسيوم يعني قراءة الكالسوم تتأثر بالالبيومين اوقات نطالع تبقى الكالسيوم منخفض ونقول المريض عندو نقص كالسيوم وندي سبلمنت ؟؟!! دا غلط لازم نعمل دي المعادلة عشان نعرف هل المريض فعلا ناقص كالسيوم ولا الالبيومين مؤثر عليه ؟؟
This is used to estimate the true (physiologically active) calcium level if the albumin were to be within normal limits. Patients with hypoalbuminemia will have a false-low serum calcium level on chemistries, due to albumin-bound calcium. An ionized calcium is a more accurate test.
Albumin is a protein made by the liver
Corrected calcium = serum calcium + 0.8 (4 - serum albumin)
Corrected Calcium = Serum Ca + (0.8 * (Normal Albumin - Pt's Albumin))
Conversion:
Calcium (mg/dL) x 0.25 = calcium (mmol/L)
Albumin (g/dL) x 10 = albumin (g/L)
CK\CPK:
Creatine phosphokinase (CPK) is an enzyme found mainly in the heart, brain, and skeletal muscle.
Generally indicates that there has been some recent muscle damage but will not indicate its location or cause.
CK-BB is found mostly in the brain and lungs, injury to either of these areas can increase CK-BB levels.
CK-MB (found primarily in heart muscle) levels rise 3 - 6 hours after a heart attack. If there is no further heart muscle damage.
CK-MM (found primarily in skeletal muscle) levels are usually a sign of muscle injury or muscle stress
IV fluid NS (normal saline):
Solution for fluid and electrolyte replenishment.
It is indicated as a source of water and electrolytes.
Example:
100 ml\hr NS
100ml\hr × 24 = 2400 ml NS \day
Dextrose5% or 10%:
طبعا دا السليوشن فيلو كالوري لانو جلكوز احنا لازم نحسبها عشان نطرح دي الكالوري من التوتال كالوري لازم اي شي يدخل للمريض نحسبو خصوصا لو كان ICU
Intravenous administration of dextrose solution provides a source of water and glucose (sugar), giving patients fluid and energy.
Dextrose 5% is available in water (D5W), normal saline (D5NS), and ½ normal saline (D5 ½ NS). Dextrose is also available in 10%, 20%, 30%, 40%, 50% and 70% concentrated in water.
Example:
1m >> 3.4 kcal
50 ml\ hr D5
50 × 24 for whole day = 1200 ml \d
1200 ml \ d × 0.05 = 60 × 3.4 = 204 kcal from dextrose
على فكرة اي كيس في ICU نسميهم بطريقة علمية CRITICALLY ILL PATIENT حتى لمن تجو تبحثو تكتبوا دا المسمى
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